Personalized exercise programs to lower dementia risk in older Veterans with Motoric Cognitive Risk
Official title: Motoric Cognitive Risk Syndrome: Refining Treatment Strategies and Testing Feasibility to Personalize Treatment for Older Veterans
Run by VA Office of Research and Development · NCT06451874 · Data updated 2026-11-12
This trial will try personalized exercise programs—functional power training, music-based walking, or both—to see if they help older Veterans with Motoric Cognitive Risk improve walking and thinking and lower dementia risk.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 65 Years and up |
| Sex | All |
| Enrollment | 54 (estimated) |
| Sponsor | VA Office of Research and Development Federal |
| Locations | 1 site (Boston, Massachusetts) |
| Status | Recruiting |
| Started | July 1, 2025 |
| Main results expected | May 31, 2029 |
| Study ends | December 31, 2029 |
| Registry record updated | July 2, 2026 |
| Trial ID | NCT06451874 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are English-speaking, community-dwelling Veterans age 65 or older who receive VA primary care and meet criteria for Motoric Cognitive Risk (slow gait speed plus subjective cognitive concerns).
✕Probably not a fit
Patients with a diagnosed dementia, major medical problems or recent major cardiac events or surgery, non-English speakers, or those with existing mobility disability are excluded and would not be expected to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study enrolls community-dwelling Veterans age 65 and older with Motoric Cognitive Risk (slow gait plus cognitive complaints) who receive VA primary care. Participants are randomized using a sequential multiple assignment randomized trial (SMART) design to receive functional power training, music-based digital walking therapy, or a combination, with treatment pathways adapted based on response. The study measures mobility and cognitive outcomes to identify which personalized exercise strategies work best for different patients. Successful completion will provide preliminary evidence to guide tailored rehabilitation approaches for older Veterans at risk for dementia.
Why it matters
Potential benefit: If successful, the interventions could improve gait speed and cognitive complaints and potentially reduce progression toward dementia through tailored exercise programs.
How similar studies have gone: Previous studies show that exercise and music-based gait training can improve mobility and some cognitive measures, but applying a SMART design to personalize treatments for MCR is a relatively novel approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age 65 2. Receiving VA primary care 3. Community-dwelling 4. Motoric Cognitive Risky Syndrome i. Slow gait speed ii. Subjective cognitive concerns/complaints Exclusion Criteria: 1. Non-English speaking 2. Presence of a terminal disease 3. Major medical problem 4. Myocardial infarction or major surgery in the previous 3 months 5. 3-point walking pattern 6. Dementia diagnostic 7. Mobility disability
Where it's running
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VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
Boston, Massachusetts, United States Recruiting
Study contacts
- Principal investigator: Elisa Ogawa, PhD MS BS — VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
- Study coordinator: Elisa Ogawa, PhD MS BS
- Email: elisa.ogawa@va.gov
- Phone: (857) 364-4011
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Figure-of-8 Walking Test in Motoric Cognitive Risk Syndrome
This observational study tests whether the Figure-of-8 Walk Test is a reliable and valid way to measure dynamic balance and gait in people with Motoric Cognitive Risk Syndrome.
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How doing a thinking task while walking affects balance and gait in Motoric Cognitive Risk Syndrome
This test will see if doing a thinking task while walking changes walking speed and balance in people aged 65 and older with Motoric Cognitive Risk Syndrome.
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Laser-based visual mapping test for Motoric Cognitive Risk Syndrome
This project tests whether a laser-based visual feedback task can reliably measure visuospatial processing, reaction time, and arm control in people aged 65 and older with Motoric Cognitive Risk Syndrome.
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Motor-cognitive training with a virtual reality treadmill for older adults at risk of dementia
This study tests whether combining motor and cognitive training on a virtual reality treadmill can help older adults with motoric cognitive risk syndrome improve walking speed and thinking skills more than traditional treadmill training.
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Exergaming versus neuromuscular exercise for older adults with Motoric Cognitive Risk
This trial will test whether a video-game-based exercise program (exergaming) or a traditional neuromuscular exercise program better improves walking and thinking in people aged 65 and older with Motoric Cognitive Risk Syndrome.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.